Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.49 / $42.88 / $42.88	Facility		$35.49	$42.88	$42.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.49 / $42.88 / $50.75	Professional		$35.49	$42.88	$50.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.72 / $86.72 / $92.10	Facility		$86.72	$86.72	$92.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.49 / $46.49 / $61.76	Professional		$46.49	$46.49	$61.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $48.43 / $48.43 / $59.28	Professional		$48.43	$48.43	$59.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.02 / $56.02 / $56.02	Facility		$56.02	$56.02	$56.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.89 / $40.89 / $40.89	Professional		$40.89	$40.89	$40.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.70 / $78.05 / $104.06	Professional		$60.70	$78.05	$104.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.57 / $53.34 / $97.34	Facility		$25.57	$53.34	$97.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $108.40 / $144.44	Professional		$52.00	$108.40	$144.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $47.52 / $65.45 / $108.58	Facility		$47.52	$65.45	$108.58
Sentara Facility/Professional Professional Modifier Low / Median / High Price $47.52 / $65.45 / $108.58	Professional		$47.52	$65.45	$108.58
United Facility/Professional Professional Modifier Low / Median / High Price $39.11 / $43.27 / $65.19	Professional		$39.11	$43.27	$65.19